DSM-5 criteria for substance use disorders: recommendations and rationale.

Since DSM-IV was published in 1994, its approach to substance use disorders has come under scrutiny. Strengths were identified (notably, reliability and validity of dependence), but concerns have also arisen. The DSM-5 Substance-Related Disorders Work Group considered these issues and recommended revisions for DSM-5. General concerns included whether to retain the division into two main disorders (dependence and abuse), whether substance use disorder criteria should be added or removed, and whether an appropriate substance use disorder severity indicator could be identified. Specific issues included possible addition of withdrawal syndromes for several substances, alignment of nicotine criteria with those for other substances, addition of biomarkers, and inclusion of nonsubstance, behavioral addictions.This article presents the major issues and evidence considered by the work group, which included literature reviews and extensive new data analyses. The work group recommendations for DSM-5 revisions included combining abuse and dependence criteria into a single substance use disorder based on consistent findings from over 200,000 study participants, dropping legal problems and adding craving as criteria, adding cannabis and caffeine withdrawal syndromes, aligning tobacco use disorder criteria with other substance use disorders, and moving gambling disorders to the chapter formerly reserved for substance-related disorders. The proposed changes overcome many problems, while further studies will be needed to address issues for which less data were available

Entrepreneurship: a unit experimentally implemented in secondary vocational home economics programs

The purpose of this study was to experimentally evaluate the implementation of a unit exploring entrepreneurship as a career option in secondary vocational home economics programs. The study was conducted in three phases which included: (1) research on home economics related small businesses and their owners, (2) pilot test of the career exploration unit on entrepreneurship, and (3) field test of the unit in twelve secondary vocational home economics classes;A survey was conducted to determine characteristics of home economics related small businesses and their owners in Iowa. Ninety-five women and 84 men, 56% of the invited sample, completed the questionnaire in 1979. Chi square values were computed to identify significant differences between male and female owners;Female small-business owners earned less money, started with less capital, and had lower gross receipts than male small-business owners. Men had more managerial experience prior to business ownership, yet women were older than men when starting their first business;The pilot test of the career exploration unit in three classes indicated that entrepreneurship was a viable topic for vocational home economics classes. High school students were able to understand entrepreneurial concepts and classroom teachers were enthusiastic about the topic;A nonequivalent control group design was used to experimentally evaluate the implementation of the unit for the field test. Two types of vocational home economics programs were used: (1) consumer and homemaking and (2) occupational programs;Achievement test data were analyzed by class mean scores in an analysis of covariance (ANACOVA) design. Significant differences were found with the experimental group having higher mean scores than the control group. Type of home economics program did not produce significantly different mean scores. The attitude device was analyzed using class means for individual items in an ANACOVA design. Some significant differences were found, but overall impact on student attitudes was not tremendous;Teacher and student evaluation instruments were assessed by content analysis. Teacher believed career exploration of entrepreneurship was appropriate in both consumer and homemaking and occupational classes. Students enjoyed reviewing entrepreneurial concepts and exploring entrepreneurship as a career

Reflections 1982

The 1982 issue of Reflections is edited by Amy J. Wilson with Joyce Compton Brown serving as faculty adviser. Cover photography is by Les Brown. Award winners of the student writing contest are: Leigh Fogia, Eric Stamey, and Charlotte Porterhttps://digitalcommons.gardner-webb.edu/reflections/1008/thumbnail.jp

Reflections 1983

The 1983 issue of Reflections is edited by Amy J. Wilson with Joyce Compton Brown serving as faculty adviser. This issue of the journal is dedicated to the memory of three Gardner-Webb professors killed in an accident: Michael Harrison, James Henson, and John Rast. Included are selected works written by their colleagues Dr. Bill Stowe, Dr. Rick Wilson, and Dr. Roger Gaddis which were also read at a campus memorial service. Award winners of the student writing contest include: Rick Howell, Kirsta Colle, and Stan Blair. Winner of the high-school contest is Sherrie Simmons.https://digitalcommons.gardner-webb.edu/reflections/1009/thumbnail.jp

Rift Valley Fever Risk Map Model and Seroprevalence in Selected Wild Ungulates and Camels from Kenya

Since the first isolation of Rift Valley fever virus (RVFV) in the 1930s, there have been multiple epizootics and epidemics in animals and humans in sub-Saharan Africa. Prospective climate-based models have recently been developed that flag areas at risk of RVFV transmission in endemic regions based on key environmental indicators that precede Rift Valley fever (RVF) epizootics and epidemics. Although the timing and locations of human case data from the 2006-2007 RVF outbreak in Kenya have been compared to risk zones flagged by the model, seroprevalence of RVF antibodies in wildlife has not yet been analyzed in light of temporal and spatial predictions of RVF activity. Primarily wild ungulate serum samples from periods before, during, and after the 2006-2007 RVF epizootic were analyzed for the presence of RVFV IgM and/or IgG antibody. Results show an increase in RVF seropositivity from samples collected in 2007 (31.8%), compared to antibody prevalence observed from 2000-2006 (3.3%). After the epizootic, average RVF seropositivity diminished to 5% in samples collected from 2008-2009. Overlaying maps of modeled RVF risk assessments with sampling locations indicated positive RVF serology in several species of wild ungulate in or near areas flagged as being at risk for RVF. Our results establish the need to continue and expand sero-surveillance of wildlife species Kenya and elsewhere in the Horn of Africa to further calibrate and improve the RVF risk model, and better understand the dynamics of RVFV transmission

Electrochemical oxidation of dihydronicotinamide adenine dinucleotide (NADH) : Comparison of highly oriented pyrolytic graphite (HOPG) and polycrystalline boron-doped diamond (pBDD) electrodes

The electro-oxidation of nicotinamide adenine dinucleotide (NADH) is studied at bare surfaces of highly oriented pyrolytic graphite (HOPG) and semi-metallic polycrystalline boron-doped diamond (pBDD). A comparison of these two carbon electrode materials is interesting because they possess broadly similar densities of electronic states that are much lower than most metal electrodes, but graphite has carbon sp2-hybridization, while in diamond the carbon is sp3-hybridised, with resulting major differences in bulk structure and surface termination. Using cyclic voltammetry (CV), it is shown that NADH oxidation is facile at HOPG surfaces but the reaction products tend to strongly adsorb, which causes rapid deactivation of the electrode activity. This is an important factor that needs to be taken into account when assessing HOPG and its intrinsic activity. It is also shown that NADH itself adsorbs at HOPG, a fact that has not been recognized previously, but has implications for understanding the mechanism of the electro-oxidation process. Although pBDD was found to be less susceptible to surface fouling, pBDD is not immune to deterioration of the electrode response, and the reaction showed more sluggish kinetics on this electrode. Scanning electrochemical cell microscopy (SECCM) highlights a significant voltammetric variation in electroactivity between different crystal surface facets that are presented to solution with a pBDD electrode. The electroactivity of different grains correlates with the local dopant level, as visualized by field emission-scanning electron microscopy. SECCM measurements further prove that the basal plane of HOPG has high activity towards NADH electro-oxidation. These new insights on NADH voltammetry are useful for the design of optimal carbon-based electrodes for NADH electroanalysis

Implementing street triage: a qualitative study of collaboration between police and mental health services.

BACKGROUND: Street Triage is a collaborative service between mental health workers and police which aims to improve the emergency response to individuals experiencing crisis, but peer reviewed evidence of the effectiveness of these services is limited. We examined the design and potential impact of two services, along with factors that hindered and facilitated the implementation of the services. METHODS: We conducted 14 semi-structured interviews with mental health and police stakeholders with experience of a Street Triage service in two locations of the UK. Framework analysis identified themes related to key aspects of the Street Triage service, perceived benefits of Street Triage, and ways in which the service could be developed in the future. RESULTS: Stakeholders endorsed the Street Triage services which utilised different operating models. These models had several components including a joint response vehicle or a mental health worker in a police control room. Operating models were developed with consideration of the local geographical and population density. The ability to make referrals to the existing mental health service was perceived as key to the success of the service yet there was evidence to suggest Street Triage had the potential to increase pressure on already stretched mental health and police services. Identifying staff with skills and experience for Street Triage work was important, and their joint response resulted in shared decision making which was less risk averse for the police and regarded as in the interest of patient care by mental health professionals. Collaboration during Street Triage improved the understanding of roles and responsibilities in the 'other' agency and led to the development of local information sharing agreements. Views about the future direction of the service focused on expansion of Street Triage to address other shared priorities such as frequent users of police and mental health services, and a reduction in the police involvement in crisis response. CONCLUSION: The Street Triage service received strong support from stakeholders involved in it. Referral to existing health services is a key function of Street Triage, and its impact on referral behaviour requires rigorous evaluation. Street Triage may result in improvement to collaborative working but competing demands for resources within mental health and police services presented challenges for implementation